在重症监护中 Delirium 管理:我们正在向前迈进,还是还在水?
Sergej Marjanovic1, Ivana Berisavac1,2, Vladimir Tutus1,3
1Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Medical sciences (Basel, Switzerland)
|December 24, 2025
概括
重症监护室 (ICU) 的妄想是一种常见的,复杂的疾病,具有严重的后果. 重新考虑ICU设计和护理策略,可以通过解决其根本原因来预防妄想.
科学领域:
- 临界护理医学 临界护理医学
- 神经科学是一个神经科学.
- 医疗保健设计 医疗保健设计
背景情况:
- 狂妄症是重症监护室 (ICU) 中常见且具有挑战性的综合征,其特点是意识波动和注意力障碍.
- 尽管进行了广泛的研究,但 Delirium 复杂的病理生理学仍然不完全理解,导致显著的发病率,死亡率,长时间住院和医疗保健成本增加.
- 痴呆症对现代重症监护构成了重大挑战,需要从仅仅治疗其后果转向积极预防.
研究的目的:
- 综合当前关于ICU Delirium流行病学,病因学,病理生理学,诊断,预防和管理的知识.
- 探索创新的ICU重新设计和以人为中心的方法在预防妄想的潜力.
- 突出整合非药理学和药理学策略的整体 Delirium 护理.
主要方法:
- 这篇叙事综述综合了关于ICU Delirium的现有文献.
- 它检查了当前对风险因素,诊断方法和治疗干预措施的理解.
- 该审查还考虑了ICU环境和设计对 Delirium 发生的影响.
主要成果:
- 痴呆症显著增加了患者的发病率,死亡率和医疗保健资源利用率.
- 许多风险因素和病理生理路径有助于妄想的发展.
- 创新的ICU环境和综合护理策略显示出对妄预防的希望.
结论:
- 解决妄想症需要转向重新想象ICU环境和护理服务的范式转变.
- 对建筑,基础设施和以人为中心的设计进行变革性投资至关重要.
- 整合基于证据的非药理学和药理学策略可能会在源头预防妄想,将ICU转变为治疗环境.
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